Provider Demographics
NPI:1821072786
Name:CANGANY, NANCY S (MS, LGC, CGC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:S
Last Name:CANGANY
Suffix:
Gender:F
Credentials:MS, LGC, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5712 SHARON RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46228-1913
Mailing Address - Country:US
Mailing Address - Phone:317-415-7741
Mailing Address - Fax:317-415-7734
Practice Address - Street 1:8091 TOWNSHIP LINE RD
Practice Address - Street 2:SUITE 108
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2494
Practice Address - Country:US
Practice Address - Phone:317-415-7741
Practice Address - Fax:317-415-7734
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN74000003A170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS